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documents at this email address.  
 

I am   [  ]  Petitioner 

[  ]  Petitioner’s Attorney    (Utah Bar #:__________) 

In the District Court of Utah 

__________ Judicial District ________________ County 

Court Address ______________________________________________________ 

In the Matter of the Guardianship of: 

Petitioner’s Affidavit of the Value of 
Respondent’s Estate 
Utah Code Section 75-5-303(5)(d)(ii) 

_____________________________________ 
Respondent 
 

_______________________________ 
Case Number 

_______________________________ 
Judge 

I am the petitioner in the above-entitled matter and I state: 

The total value of the respondent’s estate is $ ___________________ . 

The estate does not include any real property. 

The estate includes these assets: 

 
Name 
 
Address 
 
City, State, Zip 
 
Phone 

 
Email  

   

1. 

2. 

3. 
 

 

 

Petitioner’s Affidavit of the Value of 
Respondent’s Estate 

Approved Board of District Court Judges August 9, 2016 
Revised December 19, 2019 

Page 1 of 3 

 

4. 

The respondent receives monthly income from these sources in these amounts 
(attach additional sheets if needed): 

Income source 

Monthly income amount 

$ 

$ 

$ 

Signature ► 

Printed Name 

 

 

On this date, I certify that _________________________________________________________ (name) 
who is known to me or who presented satisfactory identification, in the form of 
______________________________________________________ (form of identification), has, while in my 
presence and while under oath or affirmation, voluntarily signed this document and declared that it is true. 

Printed name (Court Clerk or Notary Public) 

Signature ► 

Notary Seal 

 

 

 

 

 

 

Date 

     

 
Date 

Petitioner’s Affidavit of the Value of 
Respondent’s Estate 

Approved Board of District Court Judges August 9, 2016 
Revised December 19, 2019 

Page 2 of 3 

 

 

 

 

 

I certify that I filed with the court and am serving a copy of this Petitioner's Affidavit of the Value of 
Respondent's Estate on the following people. 

Certificate of Service 

Person’s Name 

Service Method 

Service Address 

Service 
Date 

 

 

 

[  ]  Mail 
[  ]  Hand Delivery 
[  ]  E-filed 
[  ]  Email 
[  ]  Left at business (With person in charge 

or in receptacle for deliveries.) 

[  ]  Left at home (With person of suitable 

age and discretion residing there.) 

[  ]  Mail 
[  ]  Hand Delivery 
[  ]  E-filed 
[  ]  Email 
[  ]  Left at business (With person in charge 

or in receptacle for deliveries.) 

[  ]  Left at home (With person of suitable 

age and discretion residing there.) 

[  ]  Mail 
[  ]  Hand Delivery 
[  ]  E-filed 
[  ]  Email  
[  ]  Left at business (With person in charge 

or in receptacle for deliveries.) 

[  ]  Left at home (With person of suitable 

age and discretion residing there.) 

Signature ► 

Printed Name 

 

 

(Petitioner or Attorney) 

(Respondent or 
Attorney) 

 

 
Date 

Petitioner’s Affidavit of the Value of 
Respondent’s Estate 

Approved Board of District Court Judges August 9, 2016 
Revised December 19, 2019 

Page 3 of 3

Petitioner’s Affidavit of the Value of Respondent’s Estate

This info page is part of the LIT Lab's Form Explorer project. It is not associated with the Utah state courts. To learn more about the project, check out our about page.

Downloads: You can download both the original form (last checked 2023-03) and the machine-processed form with normalized data fields.

About This Form:

Sourced from legacy.utcourts.gov (2023-03)
Page(s): 3
Fields(s): 87
Average fields per page: 29
Reading Level: Grade 10
LIST Grouping(s): GO-00-00-00-00.

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Identified Data Fields:

We have done our best to automaticly identify and name form fields according to our naming conventions. When possible, we've used names tied to our question library. See e.g., user1_name. If we think we've found a match to a question in our library, it is highlighted in green. Novel names are auto generated. So, you will probably need to edit some of them if you're trying to stick to the convention.

Here are the fields we could identify.

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The Legal Innovation & Technology Lab's Form Explorer Beta @ Suffolk Law School Last updated 2023-04-02

Petitioner’s Affidavit of the Value of Respondent’s Estate

About This Form:

Identified Data Fields:

Create an Interactive Version of this Form:

The Legal Innovation & Technology Lab's Form Explorer ^Beta @ Suffolk Law School Last updated 2023-04-02